What the Examination System Doesn't Teach about Health Insurance
I consider myself a health actuary. Though I have had some experience in other areas of actuarial practice, health is “home” for me, and I intend to stay there for the foreseeable future. The majority of my career has been devoted to supplemental health products (e.g., Medicare supplement/ select, LTC/HHC, cancer insurance, accident coverages), which certainly impacts my view of the examination system.
Given the above, I have little basis for knowing whether my opinions about health practice education also apply to other practice areas.The opinions I present may apply to all areas of actuarial practice. My impression is that they do not, at least not to the same extent.
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What No One Ever Told Me About the Rate Filing Process
In my experience, it is difficult (if not impossible) to make money in many health insurance product lines unless you have the ability to:
- Quickly and accurately tabulate and review emerging experience; and,
- Quickly respond to adverse emerging experience by taking the corrective actions necessary to help ensure that projected future experience is (at least) more in line with pricing expectations.
A list of corrective actions could include “rate increases,” many of which would be subject to state filing and approval requirements.



